Colon and Rectal Surgery Residency Program
Case mix/number of cases: anorectal – 200, endoscopy – 315, colon/rectal – 200. The anorectal and colon cases include a broad mix of both routine and complex procedures as well as laparoscopic versus open procedures. The resident is expected to identify the problems, arrive at a diagnosis, perform the surgical procedure and follow the patient postoperatively. Unlike many programs in which the fellowship is primarily preceptorial, the resident has primary responsibility for running the colorectal services at the Los Angeles County+USC Medical Center, with in-house supervision from the faculty.
Strengths of program: This is an academically oriented program that offers broad experience in continence-preserving colonic procedures. In addition, there is an AIDS colorectal clinic where patients with HIV associated anorectal problems are managed.
The program offers the breadth of colorectal surgery and its affiliating institutions. Its training facilities consist of a large county hospital, a university referral center hospital and a cancer center, as well as an anorectal physiology laboratory that includes three-dimensional ultrasound. The program is characterized by aggressive surgical management, including continence preserving management for recurrent rectal cancer. In addition, the program has an integrated research program that includes health sciences research, gene therapy, colonic physiology, laparoscopic physiology and laparoscopic cancer management.
Clinic and/or office experience: There is a weekly clinic at LAC+USC in which 70 patients are seen. There are also several weekly private clinics where patients are seen. Office exposure is provided to allow the resident broad experience in preoperative, postoperative and outpatient care.
Interaction with general surgery residents: There is a full general surgical residency program at the University of Southern California. The colorectal fellow supervises the colorectal service at LAC+USC. The service is supported by surgical residents, a physician assistant and a nurse for ancillary support, and medical students are also part of the program. The academic practice rotation includes a nurse practitioner and an intern. The colorectal resident is expected to be active in the teaching of residents and students. No in-house night call is required for the colorectal fellow.
Conferences: Conference subjects include anorectal and colonic physiology, research conference, weekly colorectal case review conference, multidisciplinary GI tumor board, colorectal journal club monthly, general surgical M&M conference weekly, general surgical grand rounds weekly and biweekly colorectal pathology conference. Visiting professors provide colorectal symposiums two times a year. Residents also have the opportunity to participate in weekly GI grand rounds as well as bimonthly IBD conference.
Elective rotation: Available upon request.
Research year: Available; research year can be coupled with being the anorectal physiology fellow.
Requirement for paper: All residents are expected to participate in scholarly activity, which is a requirement for graduation. Scholarly activity includes a research paper, a book chapter, literature review and presentation at local or national meetings.
Opportunity to attend meetings: The division funds attendance to the annual ASCRS Meeting and any other meetings at which a paper is presented. The division also funds participation in laparoscopic surgery course sponsored by the program directors association.
All applications for the Colon and Rectal Surgery Training Program are accepted through the Electronic Residency Application Service (ERAS). You must also register with the National Resident Matching Program (NRMP).
Our requirements for application include:
- Common application form
- Personal statement
- Medical school transcripts
- MSPE/deans letter
- Letters of recommendation (minimum of three)
- USMLE transcripts
- ECFMG status report – foreign graduates only
Glenn T. Ault, MD, MSEd
Senior Associate Dean – Clinical Administration (LAC+USC)
Chief, Colorectal Surgery – LAC+USC